Get M-pesa Agent Store Application Form - Safaricom

Filling out the M-PESA Agent Store Application Form is an essential step for individuals or businesses wishing to become authorized agents of Safaricom's M-PESA service. This guide will take you through each section of the form, ensuring you complete it accurately and efficiently.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Select the type of application you are submitting by ticking the appropriate box: New Form, Amendment, or Sub Agent.
3. In the 'Name of Store' field, enter the official name of your store. Ensure the name is spelled correctly.
4. Fill in the 'Associated Agent/Head Office' section with the details of your associated agent or head office, if applicable.
5. Complete the 'Store Details' section by entering your postal address, city or town, postal code, and the physical location of the store.
6. For the 'Store Primary Assistant' section, enter the name of the administrator and their ID number. Make sure to attach a copy of the ID.
7. If there is a key M-PESA contact different from the primary assistant, include their name and mobile number.
8. Review the confirmation and internal use fields. Although these may not require input, it's important to be aware of these sections as they are filled by Safaricom after submission.
9. Provide your name, designation, and sign the form. Include an official stamp if available, and date the document.
10. Once you have completed all sections, save your changes. You may download, print, or share the form as needed before submission.

Complete your M-PESA Agent Store Application Form online today to get started!